Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Todd Jason Roth, MD

Individual provider Diagnostic Radiology Physician · NPI 1558387365

Todd Jason Roth, MD is a Diagnostic Radiology in Raleigh, North Carolina. Qualified in 1997, 29 years ago. Practices with Centra Medical Group LLC, a 717-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
29
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-7000
Fax: (919) 350-8959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4420 Lake Boone Trl, Raleigh, NC 27607-7505 — (919) 784-3023
  • 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 — (434) 200-5047

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 200000603 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 00127877 (VA)

Record details

NPI number1558387365
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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